GREGORY JOHN ROBERTSON LADC
NPI 1881230134
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since November 21, 2019
1380 ENERGY LN STE 203, SAINT PAUL, MN 55108(651) 210-5287(651) 212-4884 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory John Robertson Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY JOHN ROBERTSON LADC (NPI 1881230134) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (300291) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1881230134
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGREGORY JOHN ROBERTSONCredential: LADC
Location Address1380 ENERGY LN STE 203Saint Paul, MN 55108-5253
Mailing Address6969 Valley Creek Road, 220Woodbury, MN 55125 · (651) 210-5287 · Fax (651) 212-4884
Fax(651) 212-4884
Sole ProprietorNo
Enumeration DateNovember 21, 2019
NPI 1881230134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 300291
1380 ENERGY LN STE 203, Saint Paul, MN 55108

Other Identifiers 1

Medicaid13465318094MN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Robertson's NPI number?

The NPI number for Gregory Robertson is 1881230134. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Gregory Robertson located?

Gregory Robertson practices at 1380 Energy Ln Ste 203, Saint Paul, MN 55108. The listed phone number is (651) 210-5287.

What is Gregory Robertson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gregory Robertson was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.